发展中国家多发性骨髓瘤治疗结果:系统性审查和元分析
Jehad Almasri1, Bashar Hasan2, Zin Tarakji3
1University of Cincinnati Cancer Center, Cincinnati, OH, USA.
Clinical hematology international
|October 13, 2025
概括
尽管资源有限,发展中国家的多发性骨髓瘤治疗显示出自主干细胞移植 (ASCT) 和新型药物的有希望的生存率. 结果在不同地区之间有很大的差异,突出了医疗保健准入和基础设施的差异.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 全球健康 全球健康
背景情况:
- 发展中国家的资源限制可能会影响多发性骨髓瘤 (MM) 治疗结果.
- 在这些地区,关于MM治疗的疗效的数据有限.
研究的目的:
- 系统地审查和对发展中国家的MM治疗疗效进行元分析.
- 评估与不同治疗方式相关的生存结果.
主要方法:
- 在亚洲,非洲,拉丁美洲和东欧的五个数据库中搜索了符合条件的研究.
- 使用纽卡斯尔-太华尺度评估偏差风险.
- 自主干细胞移植 (ASCT) 的综合生存数据和比较治疗方案.
主要成果:
- 在ASCT后的整体存活率是62% (2.5-12.5年随访),具有很高的异质性.
- ASCT显示,与传统化疗相比,5年生存率更高 (RR: 1.59).
- 基于Bortezomib的疗法表现优于基于thalidomide和化剂的疗法.
结论:
- 尽管资源有限,ASCT和一些新型药物改善了发展中国家的MM生存率.
- 显著的异质性表明医疗保健基础设施和治疗可访问性的变化.
- 需要进一步的研究来解决差异,并在全球范围内优化MM护理.
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